Individual provider Active NPI

Heather Lenore Stone, PA

  • Physician Assistant
  • Redding, CA
National Provider Identifier
1235207218
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18207 Issued in CA
Practice address
191 Hartnell Ave
Redding, CA 96002-1885
Phone
(530) 222-2113
Fax
(530) 222-1729
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18207 CA Primary

Addresses

Primary practice location

191 Hartnell Ave
Redding, CA 96002-1885

Mailing address

191 Hartnell Ave
Redding, CA 96002-1885
Phone (530) 222-2113

Other identifiers 1

IdentifierTypeStateIssuer
1235207218MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2022 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18207CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ray a Merlo M.D Inc PastSince Jun 24, 2008 Accepting new patients
Gateway Medical Center Inc PastSince Feb 15, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heather.stone.1@25176.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1235207218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021885",
            "telephone_number": "530-222-2113",
            "fax_number": "530-222-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021885",
            "telephone_number": "530-222-2113",
            "fax_number": "530-222-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "HEATHER",
        "middle_name": "LENORE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235207218",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.